DISTINGUISHED SERVICE AWARD

Use this form below to submit your nominations for the DISTINGUISHED SERVICE AWARD, or present it in any other form you would prefer.

Nominee(s) name: _______________________________________________________
Present Club affiliation (s): ________________________________________________________
Nominee (s) have been dancing consecutively since ___________.
List Offices held in Federation by Election:                                                                                              Year
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List Offices held in Federation by Appointment:
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List Offices held in Club by Election:
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List Offices held in Club by Appointment:
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List Club Nominee (s) has/have organized or helped organized in SC, with type of involvement:
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List other activities of Nominee (s), which show leadership in Square and/or Round Dancing:
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Include any personal information about Nominee (s) that you feel relevant. Use additional sheet for extra information where more space is needed. Please include name, address and phone number of person(s) making nomination, so that committee may obtain clarification of information, if needed.

SUBMIT NOMINATION FORM TO:  : Virginia and Anne Coble , Chairman, Hall of Fame Committee
                                                                 324 Robin Hood Rd.
                                                                 Greenville, S.C. 29607-2825
                                                                 Phone: 864-271-2497

DEADLINE FOR SUBMISSION OF 2018 NOMINATIONS IS OCTOBER 1, 2017